Deep Parotid Lobe Abscess Presenting with Dysphagia and Trismus

Grinnell, Madison; Logeman, Andrew; Knudsen, Timothy; Sayed, Zafar A.

doi:10.1155/2019/2931015

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…Trismus following traumatic or repeated inferior dental block local anaesthesia will have a relevant timeline, whereas patients presenting with spontaneous trismus may have more serious underlying disease. Whilst a TMJ disorder may be the most likely scenario, tonsillar malignancy may give rise to unilateral facial pain and restriction in opening (47), and an infective cause should also be considered (48). Urgent referral of patients with trismus should be considered when the history and clinical findings are unusual, and symptoms do not resolve.…”

Section: Trismusmentioning

confidence: 99%

Simplifying differential diagnoses of orofacial conditions - a guide to surgical sieves and red flags

et al. 2021

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Section: Trismusmentioning

confidence: 99%

Simplifying differential diagnoses of orofacial conditions - a guide to surgical sieves and red flags

et al. 2021

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“…Compared with masticator space infection, acute suppurative parotitis manifests with a sudden unilateral tender erythematous mass. The mass could extend from the cheek to the angle of the jaw, leading to trismus [19]. Acute suppurative parotitis can be caused by a calculus (sialolith) or various bacteria and viruses, most commonly Staphylococcus aureus and anaerobic bacteria.…”

Section: Parotid Space Infectionmentioning

confidence: 99%

A dangerous cause of airway obstruction: deep neck infection

2020

Signa Vitae

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Deep neck infection (DNI) is an infection in the fascial spaces of the neck. Complications of DNI, including mediastinitis, internal jugular vein thrombosis, and upper airway obstruction, are severe and potentially life threatening. Therefore, early identification and accurate management of DNI are essential. We review the anatomy of the deep spaces of the neck to determine the route of DNI spread so that emergency doctors, physicians, and otorhinolaryngologists can quickly recognize the development of lethal complications of DNI, such as asphyxia from airway obstruction.

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“…For example, sectioning the facial nerve will lead to poor preparation of the alimentary bolus during mastication. In many cases this aspect is neglected by the specialist surgeon already troubled by the facial neurologic deficit [30]. Pharyngeal tumors associate swallowing problems from the very beginning.…”

Section: Clinical Aspects Of Dysphagia In Cervical and Facial Tumorsmentioning

confidence: 99%

Swallowing Disorders in Cervical Facial Tumors

Vrînceanu¹,

Dumitru²

2020

Voice and Swallowing Disorders

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We review current state of the art protocols on swallowing disorders associated to cervical facial tumors. The clinician needs to translate physiology notions to bedside diagnosis. Facing such a case the ENT surgeon must follow several key steps: thorough history taking, barium transit, endoscopy evaluation of swallowing, high resolution diagnosis imaging. Afterwards surgical treatment plan should take into consideration the need to careful dissection of vascular and nervous structures. Dysphagia may present from initial diagnosis or after surgical resection of the tumor or during radiation and chemotherapy. We discuss the use of various staging scales or questionnaires for assessing quality of life. We illustrate the importance of swallowing disorders management with various cases of tumors at the level of skull base, pharynx, salivary glands, larynx, esophagus, etc. There are various solutions for dysphagia ranging from nasogastric feeding tube placement to percutaneous endoscopic gastrostomy to specially designed exercises. Sometimes the surgeon neglects these disorders and focuses on airway management. However, the rule should be to encourage swallowing as soon as possible after surgery. A good nutritional status is necessary for a positive prognosis in swallowing disorders. Team effort in tertiary oncology units is the key in supporting such complex cases.

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Deep Parotid Lobe Abscess Presenting with Dysphagia and Trismus

Cited by 5 publications

References 17 publications

Simplifying differential diagnoses of orofacial conditions - a guide to surgical sieves and red flags

Simplifying differential diagnoses of orofacial conditions - a guide to surgical sieves and red flags

A dangerous cause of airway obstruction: deep neck infection

Swallowing Disorders in Cervical Facial Tumors

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